2017 Board Application Form for External Candidates

This form is to be completed by each external candidate applying for a position on the National Board of Directors (NBOD) of Habitat for Humanity Canada (HFHC) or a Committee of that Board. The submission deadline is January 20, 2017 at 5:00p.m. EST. Forms submitted by mail should be sent to:

If you do not receive confirmation that your application form has been received within 15 days of submission, please contact Brenda Aranha at 1-800-667-5137, ext. 384.

Applications will only be fully considered if they have been signed by the applicant and include two references which the Nominating Committee may contact.

Note: External candidates approved by HFHC NBOD will be ratified by the membership at the Annual General Meeting (AGM) on Saturday, May 13, 2017. These new Board members are expected to attend the AGM and the National Leadership Conference in November 2017.

Candidate Details

Note: All or part of the following information may be distributed to individuals involved in electing or selecting the NBOD and its committees.

Title*

First Name*

Last Name*

Address

City

Province

Postal Code

Email Address*

Work Phone #:*

Home Phone #:*

Other Phone #:

Address and City of Permanent Residence*

Province and Postal Code of Permanent Residence*

BIOGRAPHICAL PROFILE

Describe in 300 words or less your professional background, your interest in Habitat for Humanity and why you would like to serve on the National Board of Directors or a committee of Habitat for Humanity

Details:*

LANGUAGES:

Fluent in English

Fluent in French

Fluent Other

specify above

PROFESSIONAL EXPERIENCE:

Most Recent Employer:*

Job Title:

Dates:

Next Recent Employer:*

Job Title:

Dates:

Next Recent Employer:*

Job Title:

Dates:

Next Recent Employer:

Job Title:

Dates:

EDUCATION:

School:*

Degree/Certificate*

Dates

School*

Degree/Certificate*

Dates

School:

Degree/Certificate:

Dates

School:

Degree/Certificate:

Dates

EXPERIENCE WITHIN HABITAT FOR HUMANITY:

Affiliate / National Organization:

Role:

Dates

Affiliate / National Organization:

Role:

Dates

Affiliate / National Organization:

Role:

Dates:

EXPERIENCE WITHIN OTHER NON-PROFIT ORGANIZATIONS

Organization:

Role:

Dates:

Organization:

Role:

Dates:

Organization:

Role:

Dates:

Organization:

Role:

Dates:

I have expertise and/or interests that would make me a likely candidate for the following Board of Director's committees: